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      What factors determine the choice of public engagement undertaken by health technology assessment decision-making organizations?

      e-conceptual-paper
      Sally Wortley , Jackie Street , Wendy Lipworth , Kirsten Howard
      Journal of Health Organization and Management
      Emerald Publishing
      Decision making, Health care, Consumers, Public engagement, Health technology assessment

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          Abstract

          Purpose

          Public engagement in health technology assessment (HTA) is increasingly considered crucial for good decision making. Determining the “right” type of engagement activity is key in achieving the appropriate consideration of public values. Little is known about the factors that determine how HTA organizations (HTAOs) decide on their method of public engagement, and there are a number of possible factors that might shape these decisions. The purpose of this paper is to understand the potential drivers of public engagement from an organizational perspective.

          Design/methodology/approach

          The published HTA literature is reviewed alongside existing frameworks of public engagement in order to elucidate key factors influencing the choice of public engagement process undertaken by HTAOs. A conceptual framework is then developed to illustrate the factors identified from the literature that appear to influence public engagement choice.

          Findings

          Determining the type of public engagement undertaken in HTA is based on multiple factors, some of which are not always explicitly acknowledged. These factors included the: perceived complexity of the policy-making issue, perceived impact of the decision, transparency and opportunities for public involvement in governance, as well as time and resource constraints. The influences of these factors vary depending on the context, indicating that a one size fits all approach to public engagement may not be effective.

          Originality/value

          Awareness of the various factors that might influence the type of public engagement undertaken would enable decision makers to reflect on their choices and be more accountable and transparent about their choice of engagement process in eliciting public values and preferences in a HTAO.

          Related collections

          Most cited references68

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          A Typology of Public Engagement Mechanisms

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            Citizen Participation in Decision Making: Is It Worth the Effort?

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              Deliberations about deliberative methods: issues in the design and evaluation of public participation processes.

              A common thread weaving through the current public participation debate is the need for new approaches that emphasize two-way interaction between decision makers and the public as well as deliberation among participants. Increasingly complex decision making processes require a more informed citizenry that has weighed the evidence on the issue, discussed and debated potential decision options and arrived at a mutually agreed upon decision or at least one by which all parties can abide. We explore the recent fascination with deliberative methods for public involvement first by examining their origins within democratic theory, and then by focusing on the experiences with deliberative methods within the health sector. In doing so, we answer the following questions "What are deliberative methods and why have they become so popular? What are their potential contributions to the health sector?" We use this critical review of the literature as the basis for developing general principles that can be used to guide the design and evaluation of public involvement processes for the health-care sector in particular.
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                Author and article information

                Journal
                JHOM
                10.1108/JHOM
                Journal of Health Organization and Management
                JHOM
                Emerald Publishing
                1477-7266
                19 September 2016
                : 30
                : 6
                : 872-890
                Affiliations
                [1]School of Public Health, The University of Sydney , Sydney, Australia
                [2]School of Population Health, The University of Adelaide , Adelaide, Australia
                [3]Centre for Values, Ethics & Law in Medicine (VELIM), School of Public Health, The University of Sydney , Sydney, Australia
                Article
                585378 JHOM-08-2015-0119.pdf JHOM-08-2015-0119
                10.1108/JHOM-08-2015-0119
                a7086eb0-ae10-4393-984d-07a1e6ad38a3
                © Emerald Group Publishing Limited
                History
                : 10 August 2015
                : 09 May 2016
                : 21 June 2016
                Page count
                Figures: 1, Tables: 2, Equations: 0, References: 98, Pages: 19, Words: 7888
                Categories
                e-conceptual-paper, Conceptual paper
                cat-HSC, Health & social care
                cat-HMAN, Healthcare management
                Custom metadata
                yes
                yes
                JOURNAL
                included

                Health & Social care
                Consumers,Decision making,Health technology assessment,Health care,Public engagement

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